Aviata at the Bay

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Tag F0600 · CMS scope and severity J (immediate jeopardy; isolated) · from a complaint inspection · Past Non-Compliance

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Tag F0689 · CMS scope and severity J (immediate jeopardy; isolated) · from a complaint inspection · Past Non-Compliance

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Tag F0809 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · from a complaint inspection · Deficient, Provider has date of correction Feb 11, 2026

Keep residents' personal and medical records private and confidential.

Tag F0583 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jul 26, 2024

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Tag F0584 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · from a complaint inspection · Deficient, Provider has date of correction Jul 26, 2024

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Tag F0585 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jul 26, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Tag F0600 · CMS scope and severity H (actual harm; pattern) · from a complaint inspection · Deficient, Provider has date of correction Jul 26, 2024

PASARR screening for Mental disorders or Intellectual Disabilities

Tag F0645 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Jul 26, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Tag F0656 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jul 26, 2024

Plan the resident's discharge to meet the resident's goals and needs.

Tag F0660 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jul 26, 2024

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Tag F0676 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jul 26, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

Tag F0677 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Jul 26, 2024

Provide activities to meet all resident's needs.

Tag F0679 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Jul 26, 2024

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Tag F0688 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Jul 26, 2024

Provide care or services that was trauma informed and/or culturally competent.

Tag F0699 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jul 26, 2024

Ensure that residents are free from significant medication errors.

Tag F0760 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Jul 26, 2024

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Tag F0761 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Jul 26, 2024

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Tag F0773 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jul 26, 2024

Provide or obtain dental services for each resident.

Tag F0791 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jul 26, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Tag F0812 · CMS scope and severity F (no actual harm, potential for more than minimal harm; widespread) · Deficient, Provider has date of correction Jul 26, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Tag F0842 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Jul 26, 2024

Provide and implement an infection prevention and control program.

Tag F0880 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Jul 26, 2024

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Tag F0925 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Jul 26, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Tag F0600 · CMS scope and severity J (immediate jeopardy; isolated) · from a complaint inspection · Deficient, Provider has date of correction Feb 9, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Tag F0689 · CMS scope and severity J (immediate jeopardy; isolated) · from a complaint inspection · Deficient, Provider has date of correction Feb 9, 2024

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Tag F0553 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 1, 2022

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Tag F0657 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 1, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

Tag F0677 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 1, 2022

Provide enough food/fluids to maintain a resident's health.

Tag F0692 · CMS scope and severity G (actual harm; isolated) · Deficient, Provider has date of correction May 26, 2022

Provide safe and appropriate respiratory care for a resident when needed.

Tag F0695 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction May 1, 2022

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Tag F0761 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction May 26, 2022

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Tag F0867 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 26, 2022

Keep all essential equipment working safely.

Tag F0908 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 1, 2022

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Tag F0582 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Mar 8, 2021

Keep residents' personal and medical records private and confidential.

Tag F0583 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Mar 8, 2021

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Tag F0761 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Mar 8, 2021

Meet other general requirements.

Tag K0200 · CMS scope and severity C (no actual harm, potential for minimal harm; widespread) · Deficient, Provider has date of correction Jul 26, 2024

Have simulated fire drills held at unexpected times.

Tag K0712 · CMS scope and severity C (no actual harm, potential for minimal harm; widespread) · Deficient, Provider has date of correction Jul 26, 2024

Have generator or other power source capable of supplying service within 10 seconds.

Tag K0918 · CMS scope and severity C (no actual harm, potential for minimal harm; widespread) · Deficient, Provider has date of correction Jul 26, 2024

Develop and maintain an Emergency Preparedness Program (EP).

Tag E0004 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 1, 2022

Develop Emergency Preparedness policies and procedures.

Tag E0013 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 1, 2022

Develop a communication plan.

Tag E0029 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 1, 2022

Establish staff and initial training requirements.

Tag E0037 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 1, 2022

Conduct testing and exercise requirements.

Tag E0039 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 1, 2022

Install emergency lighting that can last at least 1 1/2 hours.

Tag K0291 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Mar 12, 2021

Provide properly protected cooking facilities.

Tag K0324 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Mar 12, 2021

Inspect, test, and maintain automatic sprinkler systems.

Tag K0353 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Mar 12, 2021

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Tag K0521 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Mar 12, 2021

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Tag K0741 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Mar 12, 2021

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Tag K0761 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Mar 12, 2021

Have generator or other power source capable of supplying service within 10 seconds.

Tag K0918 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Mar 12, 2021